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신동호,박경남,서정대,기춘석,함준수,정선근,김광익 대한소화기내시경학회 1984 Clinical Endoscopy Vol.4 No.1
In a study of 460 cases of upper gastrointestinal bleeding admitted in Han Yang Univeraitp IIoaptal during the 6 pear period 1978-1983 inclusive, the following results were obtained: 1) The male-female ratio was 5:1 and peak ineidnce was in the 5th-6th decade. 2) The causes of bleeding were; esophageal varicea in 26.1, duodenal ulcer in 23.0, gastric ulcer in 20.7io, erosive gastritis in 10.2%, stomach cancer in 3.'/, Mallory Weiss syndrome in 1. 3%, marginal ulcer in 0. , and gasfiric polyp in 0. 2. The incidence of no positive diagnosis was 14.1%. 3) The frequencies of previous blaeding were; no previous bleeding history in 16.1, and two and mare previous bleeding histories in 6.5%. 4) 13. 0 of the patients had possible precipitating 'Factors of bleeding. Alcohol waa the moat commian precipitating factor with its incidence of 5.4. 5) Three main types of bleeding on admission were; hematemesis in 36. 7, melena in 34. B%, and the two combined in 28. 5 , 6) The patients given a transfusion were 78.9. The patients receiving more than 10 pinto of blood were i4.6. 7) The ABO blood groups were; group 0 in 35.6, group A in 29.6, group B in 20.9, and group AB in 9.5. 8) 90.8% of the patients were treated medically and 9. 2 o of the patients received operations. The treatments on the rupturod oesophageal varices were; medical treatments in 16.1 %, endoacopic injection aclerotherapy in 8.5, and olrerations in 1.5%. 9) Among 460 cases, 76. 5 of the patients improvesi, 14, 3'/0 of the patients discharged under the poor condition, and 9.1 of the patients expired during the hospitalisation. Important factors; affecting the prognosis were the caqaes of bleeding, the types of bleeding on admission, the systolic blood pressure on admisaron, the BUN level on admission, and the amounts of blood transfused.